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|Title: ||Regret about surgical decisions among early‐stage breast cancer patients|
Wang, Ashley Wei‐Ting
|Keywords: ||breast cancer;congruence between actual and preferred role;lumpectomy;mastectomy;oncology;regret|
|Issue Date: ||2018-05-16 15:04:23 (UTC+8)|
|Abstract: ||Objective: Early‐stage breast cancer patients generally receive either a mastectomy or a|
lumpectomy, either by their own choice or that of their surgeon. Sometimes, there is regret about
the decision afterward. To better understand regret about surgical decisions, this study examined
2 possibilities: The first is that women who take a dominant or collaborative role in decision making
about the surgery express less regret afterward. The second is that congruence between preferred
role and actual role predicts less regret. We also explored whether disease stage
moderates the relationship between role congruence and decisional regret.
Methods: In a cross‐sectional design, 154 women diagnosed with breast cancer completed a
survey assessing decisional role preference and actual decisional role, a measure of post‐decision
regret, and a measure of disturbances related to breast cancer treatment. Hierarchical regression
was used to investigate prediction of decisional regret.
Results: Role congruence, not actual decisional role, was significantly associated with less
decisional regret, independent of all the control variables. The interaction between disease stage
and role congruence was also significant, showing that mismatch relates to regret only in women
with more advanced disease.
Conclusions: Our findings suggest that cancer patients could benefit from tailored decision
support concerning their decisional role preferences in the complex scenario of medical and
personal factors during the surgical decision.
|Relation: ||Psycho-oncology, Volume27, Issue2, pp.508-514|
|Data Type: ||article|
|DOI 連結: ||http://dx.doi.org/10.1002/pon.4522|
|Appears in Collections:||[心理學系] 期刊論文|
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